# PINECREST MEDICAL CARE FACILITY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730186891
- **Authorized official:** DANA SMITH (ADMINISTRATOR)
- **Authorized official phone:** (906) 497-5641

## Contact information

- **Practice address:** N15995 MAIN ST, POWERS, MI 49874-9608
- **Practice address phone:** (906) 497-5244
- **Practice address fax:** (906) 497-5005
- **Mailing address:** PO BOX 603, POWERS, MI 49874-0603
- **Mailing address phone:** (906) 497-5244
- **Mailing address fax:** (906) 497-5005

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | — | — | — |
| 314000000X | Skilled Nursing Facility | 558510 | MI | Yes |

## Other

- **Enumeration date:** 07/05/2005
- **Last updated:** 06/11/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 09623 | BCBSM PROVIDER ID NUMBER | MI |
| 01 | — | 30413 | BCBSM PROVIDER NUMBER | MI |
| 05 | — | 61 2085277 | — | MI |
| 05 | — | 64 2085277 | — | MI |